A mother brings her 2-year-old child to the pediatrician’s office, voicing concerns about her toddler’s growth over the last year. According to the child’s records, the toddler has gained 6 pounds (2.7 kg) and grown 2.5 inches (6.4 cm) since the child’s last visit a year ago. How should the nurse respond to this mother’s concerns?
Ask the mother if there are other small people in her family.
Tell her that her child’s growth is less than expected and gather a nutritional history on the child.
Tell the mother that she needs to return to the pediatrician’s office in 3 months to re-weigh the child and measure his height for any changes.
Inform the mother that her toddler’s growth is within normal limits and there is nothing to be worried about.
The Correct Answer is D
Choice A reason: Asking about family size is irrelevant, as growth norms are based on population standards, not family stature. The toddler’s 6-pound gain and 2.5-inch growth are normal for a 2-year-old, making this unhelpful and incorrect compared to reassuring based on standard growth parameters for toddlers.
Choice B reason: The child’s growth (6 pounds, 2.5 inches) is within normal limits for a 2-year-old, so stating it is less than expected is inaccurate. Gathering nutritional history is unnecessary without growth concerns, making this incorrect compared to reassuring the mother about normal development in her child.
Choice C reason: Requiring a follow-up in 3 months is unnecessary, as the toddler’s growth is normal (6 pounds, 2.5 inches in a year). Reassuring the mother addresses her concerns directly, avoiding unwarranted visits, making this incorrect for responding to a toddler with standard growth patterns.
Choice D reason: A 6-pound (2.7 kg) weight gain and 2.5-inch (6.4 cm) height increase are within normal limits for a 2-year-old, per pediatric growth charts. Reassuring the mother alleviates anxiety and aligns with evidence-based growth standards, making this the correct response to her concerns about growth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Playing apart without group involvement describes solitary play, not onlooker play, which involves watching others without joining. Observing without participating is the defining feature, making this incorrect, as it misidentifies the type of play in the instructor’s illustration of pediatric play types.
Choice B reason: Organized group play is cooperative play, not onlooker play, which entails passive observation. Students identifying observing without participating show understanding, making this incorrect, as it represents a different play type unrelated to the onlooker behavior described in the class.
Choice C reason: Acting out a troubling situation is dramatic play, not onlooker play, which focuses on watching without engagement. Observing without participating is the correct example, making this incorrect, as it does not match the passive nature of onlooker play in the instructor’s lesson.
Choice D reason: Onlooker play involves observing others’ play without participating, typical in young children assessing social situations. Students choosing this example demonstrate understanding, aligning with pediatric developmental play theories, making it the correct choice for a successful class on types of play.
Correct Answer is C
Explanation
Choice A reason: Breastfeeding or bottle feeding does not directly relate to a white coating resembling milk curds, which suggests oral thrush. Recent infections or antibiotic use are more relevant to thrush’s etiology, making this less critical and incorrect for the most important question to ask the caregiver.
Choice B reason: Vaginal delivery may increase thrush risk from maternal candida, but it is less immediate than recent infections or antibiotics, which directly predispose to oral thrush. This question is less relevant, making it incorrect compared to assessing recent infection history for the coating’s cause.
Choice C reason: A white coating resembling milk curds suggests oral thrush, often linked to recent antibiotic use or infections disrupting oral flora. Asking about recent infections identifies potential causes, aligning with pediatric infectious disease protocols, making it the most important question for assessing the child’s condition.
Choice D reason: Handwashing is relevant for infection prevention but does not directly address the cause of a white coating like thrush. Recent infections or antibiotics are more pertinent to the etiology, making this less critical and incorrect for the primary question to investigate the oral finding.
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